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813-780-0020 City of Zephyrhitls Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date�2eceivea' Phone Contact for Permittin — <br /> Owner's Name � � � ( ��� Owner Phone Number ��S� O 7�7� �(7� <br /> Owner's Address S t c� � Owner Phone Number 0�S 3�'" �� ,� <br /> Fee Simple Titleholder Name Owner Pho�e Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Sf� �� J ! LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ���G/� ���1 � 12�1�Lce ten 7— <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ / � <br /> � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> PLUMBER ` � `//,�,,,_� COMPANY I /C�S ��� � vl ���rNv <br /> SIGNATURE i`Y � REGISTERED Y I N FEE CURRE� Y/N <br /> Address �7 �1 (,��� �U p �/1���S /�,C, License# b �� <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *'"'PROPERTY SURVEY required for all NEW construction. <br /> Directtons: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement ia required. (AIC upgrades over ST500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadvways..needs ROW <br />